Payer Credentialing Supervisor

Our Billing Co. is seeking a Payer Credentialing Supervisor to join our team!

The Payer Credentialing Supervisor leads a remote team of 10-12 specialists responsible for payer enrollment, and ongoing credentialing activities. This role ensures daily operational execution, maintains quality and accuracy, drives team engagement in a virtual environment, and partners closely with leadership to meet turnaround times, compliance standards, and performance goals. The supervisor is accountable for team culture, workload management, coaching, and administrative oversight.

The supervisor must maintain a service-focused mindset to support your team, providers and payer relationships.

Role Specific Functions:

Team Engagement & Culture

• Reinforce a high engagement remote culture, including consistent camera on expectations.
• Hold daily team touchpoints to align on priorities and remove blockers.
• Participate in three weekly alignment meetings with the Manager for updates and issue review.
• Conduct weekly 1:1s with each specialist.
• Support virtual team building and recognition activities.
• Support change management efforts during team expansion, process updates, and transition.

Operational Management

• Directly oversee specialists performing hands on payer enrollment work.
• Assign daily tasks, balance workload, and ensure deadlines and SLAs are met.
• Maintain clear priorities and communicate expectations consistently.
• Monitor progress on applications, follow ups, and aging tasks.

Coaching & Quality

• Provide real time coaching, feedback, and process reinforcement.
• Conduct quality checks on applications, documentation, and follow up work.
• Track individual performance and development against goals.
• Identify training needs and partner with leadership to execute training plans.
• Document coaching conversations and performance feedback.

Administrative Oversight

• Manage timecards, PTO, and daily staffing coverage.
• Maintain and enforce the responsibility matrix for the team.
• Monitor performance trends, outliers, and support PIPs when needed.
• Oversee daily performance tracking and metrics.
• Conduct staff quality audits and ensure documentation accuracy.

Minimum/

Preferred Qualifications:

• High School Diploma.
• Experience supervising and leading credentialing, payer enrollment (10+ staff)
• Proven success managing remote team, including daily huddles, 1:1's, coaching, and performance tracking and oversight.
• Hands - on experience with payer enrollment workflows, provider onboarding, and credentialing process.
• Strong working knowledge of major payer requirements, especially Highmakr, IHA, Fidelis, UHC, Medicare, Univera, Aetna, Cigna / MVP, Wellpoint, and NY/PA Medicaid.
• Experience resolving payer escalations, navigating complex payer rules, and managing high-volume application pipelines.

Knowledge, Skills and Abilities:

Knowledge

• Expert understanding of payer enrollment, credentialing workflows, and provider onboarding.
• Experience with major payer portals (e.g., Availity, PECOS, CAQH).
• Strong knowledge of key payer processes, with the ability to expand as needed.
  • Key Payers Highmark BCBS, Independent Health, Fidelis, UHC, Medicare, Univera, Aetna, Cigna / MVP, Molina, Wellpoint, NY / PA Medicaid.
• Proficiency with enrollment & tracking platforms including MD-Staff and Smartsheet
• Knowledge of healthcare compliance, documentation requirements, and payer timelines.

Skills

• Leadership and team management in a remote environment.
• Strong communication skills with the ability to set expectations and provide clear direction.
• Coaching, performance management, and quality assurance.
• Time management, prioritization, and workload balancing.
• Problem-solving and escalation handling.

Abilities

• Lead a distributed team with consistency, accountability, and engagement.
• Maintain accuracy and quality in a high-volume, deadline-driven environment.
• Build trust, motivate staff, and foster a positive team culture.
• Adapt quickly to changing priorities and operational needs.
• Ability to learn and manage enrollment / credentialing systems, payer portals, and workflow tools quickly.
• Use data and metrics to drive decisions and performance improvement.

Physical Requirements/Working Conditions

• Hybrid preferred role based in Buffalo, NY with a strong preference for on-site work at the Larkin Building 3 days a week.
• Remote candidates will be considered based on skillset and experience.
• Ability to sit for extended periods while working at a computer or reviewing billing records. Work is typically performed in an office environment with minimal exposure to health or safety hazards.

Our Billing Co. offers a competitive benefits package!